SALLY Q TAN MD PC (NPI# 1437456225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437456225 |
| Entity Type | Organization |
| Organization Name | SALLY Q TAN MD PC |
| Practice Address |
1110 N Classen Blvd Suite 204 Oklahoma City OK 73106-6843 |
| Practice Telephone | 4053191622 |
| Practice Fax Number | 4053191575 |
| Mailing Telephone | 4053191622 |
| Mailing Fax Number | 4053191575 |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-14 |
| Authorized Official Name | DR. SALLY Q. TAN (PRESIDENT) |
| Authorized Official Telephone | 4053191622 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
19992 | OK | Ambulatory Health Care Facilities |
| Street Address |
1110 N CLASSEN BLVD SUITE 204 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73106-6843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144204314 | James Milton Johnston | Internal Medicine | 1110 N Classen Blvd, Suite 300, Oklahoma City, OK 73106-6842 | 2005-12-01 |
| 1467689596 | Classen Medical Center Pllc | Internal Medicine | 1110 N Classen Blvd, Suite 300, Oklahoma City, OK 73106-6843 | 2009-06-16 |
| 1891962460 | Healthfirst Physicians Management Services, Inc | Family Medicine | 1110 N Classen Blvd, Suite 100, Oklahoma City, OK 73106-6843 | 2008-05-13 |
| 1699887331 | Sally Que Poa Tan | Internal Medicine | 1110 N Classen Blvd, Suite 204, Oklahoma City, OK 73106-6843 | 2006-08-31 |
| 1356355770 | Richard C Greyson | Internal Medicine | 1110 N Classen Blvd, Suite 301, Oklahoma City, OK 73106 | 2006-07-28 |
| 1437195922 | Saints Medical Group, LLC | Psychologist | 1110 N Classen Blvd, Suite 315, Oklahoma City, OK 73106-6843 | 2006-06-22 |
| 1922050335 | Maria Monina Kane | Psychiatry & Neurology | 1110 N Classen Blvd, Suite 318, Oklahoma City, OK 73106-6843 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
| 1598290538 | Eric T Manuel | Counselor | 1841 Nw 18th Street, Oklahoma City, OK 73106 | 2017-04-27 |
| 1679010516 | Danny Lee Stone | Peer Specialist | 3010 N Mckinley Ave, Oklahoma City, OK 73106 | 2017-01-31 |
| 1245683929 | Shandi Alphonso | Peer Specialist | 1219 N.w. 9th St., Okc, OK 73106 | 2016-07-19 |
| 1033593173 | Good Journey Hospice, LLC | Hospice Care, Community Based | 901 Nw 25th, Room 2, Oklahoma City, OK 73106 | 2015-07-18 |
| 1114317435 | Savanah Brook Caddel | Counselor | 1251 Nw 25th St, Oklahoma City, OK 73106 | 2015-01-24 |
| 1619381084 | Theressa Hall | Case Manager/Care Coordinator | 1330 N. Classen Blvd, Suite 302, Oklahoma City, OK 73106 | 2014-06-13 |
| 1417376021 | Christe Lyn Sweat | Case Manager/Care Coordinator | 900 Nw 10 Street, Oklahoma City, OK 73106 | 2014-04-10 |
| 1003169004 | Jessica Stevie Schrameck | Counselor | 1017 Nw 6th St., Oklahoma City, OK 73106 | 2012-10-16 |
| 1841579166 | Frances Bernice Pasternik | Counselor | 2220 North Classen Blvd, Suite E, Oklahoma City, OK 73106 | 2011-08-04 |
| Find all providers in zip 73106 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184271793 | Healthy Skin Dermatology of Oklahoma Pllc | Clinic/Center | 13933 Technology Dr Ste B, Oklahoma City, OK 73134-1053 | 2019-08-20 |
| 1053862102 | Okc Neurology-catherine E Porter Md, Pllc | Clinic/Center | 6701 W Hefner Rd Ste B, Oklahoma City, OK 73162-4706 | 2016-10-24 |
| 1922350719 | Allergy Arts of Oklahoma Pllc | Clinic/Center | 3300 Nw 56th St Ste 100, Oklahoma City, OK 73112-4538 | 2012-10-04 |
| 1669667689 | Richard B. Dawson, M.d. and Associates, Inc. | Clinic/Center | 8315 S Walker Ave, Oklahoma City, OK 73139-9449 | 2007-09-12 |
| 1700912615 | Piedmont Therapy Institute | Clinic/Center | 2240 N Classen Blvd, Ste A, Oklahoma City, OK 73106-5811 | 2007-02-26 |
| 1871651315 | Osu Center for Health Sciences | Clinic/Center | 1044 S W 44th Street Suite 410, Oklahoma City, OK 73109 | 2006-12-05 |
| 1801969647 | Osu Center for Health Sciences | Clinic/Center | 608 Nw 9th St Ste 6110, Oklahoma City, OK 73102-1006 | 2006-11-17 |
| 1497743181 | North Side Internal Medicine Pllc | Clinic/Center | 6957 Nw Expressway, Suite #301, Oklahoma City, OK 73132-3533 | 2005-10-07 |
| 1952778177 | Southside Urology Clinic, P.C. | Clinic/Center | 9817 S Western Ave, Oklahoma City, OK 73139-2812 | 2015-08-24 |
| 1609258615 | Jvc Medical, Inc. | Clinic/Center | 2825 Parklawn Dr, Oklahoma City, OK 73110-4201 | 2015-06-25 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73106 |
Please comment or provide details below to improve the information on SALLY Q TAN MD PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.